Jamal Rafique, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

N1087 Issued in TX

Practice address

2743 Imperia Dr Ste 202
Sugar Land, TX 77479-8988

Phone

(346) 368-2498

Fax

(348) 368-2499

NPI assigned

Jul 20, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

PsychiatryAlso: Addiction Medicine, Geriatric Psychiatry

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jamal Rafique, M.D., P.a.

  • Psychiatry Physician
  • Houston, TX
  • NPI 1336431493
  Medicare reassignment Authorized official
• The Harris Center for Mental Health and Idd

  • Community/Behavioral Health Agency
  • Houston, TX
  • NPI 1346293156
  Medicare reassignment NPD
• Cenikor Foundation

  dba Odyssey House Texas

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Houston, TX
  • NPI 1669695243
  NPD (past)
• Westpark Springs, LLC

  dba Westpark Springs

  • Psychiatric Hospital
  • Richmond, TX
  • NPI 1215354899
  NPD (past)
• Horizons Behavioral Health LLC

  • Social Worker
  • Crystal Lake, IL
  • NPI 1881692689
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1891794996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2743 IMPERIA DR STE 202",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774798988",
            "telephone_number": "346-368-2498",
            "fax_number": "348-368-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2743 IMPERIA DR STE 202",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774798988",
            "telephone_number": "346-368-2498",
            "fax_number": "348-368-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFIQUE",
        "first_name": "JAMAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036-105278",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "N1087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "N1087",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2860587-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Varun M Rachakonda
• Rachna Bhala,M.D,PA
• Giselle Gabrielle Rackley, C.N.I.M.
• Sangeetha Radhakrishnan, MD
• Tanya Hirsch Radoff, M.A., CCC-SLP
• Cecilia Ufot Ragsdale, PMHNP-BC
• Jacqueline Ragudos-Weathersby, PA-C
• Sharvani Raguthu
• Faiz Rahman
• Haitham Rahman, MD

• Psychiatry Physician in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.